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darkbeauty

darkbeauty

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darkbeauty's Latest Activity

  1. darkbeauty

    Privately hired for trach+vent.

    I've never had a decannulation experience but am pretty comfortable with standard trach care and inner canulla changes from 10 years of LPN experience in a skilled nursing facility and trach home care patients. Am familiar with Mic-key and GJ care as well as a handful of pegtube detachment accidents. Never had trach CPR, only use of ambu-bag. I have done a vent class to understand settings but for this patient, all settings remain the same I do not touch anything except when beeping then I would have to access patient first. I am very green to vents and this is why I am coming here for advice to see if its something worth persuing or too risky and I appreciate your input in letting me see that this may be too risky for a person like me. To be honest I have concerns as well I just wanna make sure am not declining the case out of fear or agreeing to take it from lack of info.
  2. darkbeauty

    Privately hired for trach+vent.

    It's not that I don't wanna sign up with an agency. The client is via VA, and gets x amount of hours approved, the remaining they pay outta pocket to cover 24/7 skilled nursing so paying the nurse cash eliminates the middle man (the agency). The guardian spouse will be in the house for the first few shifts so in no way will I be alone with pt for the first 6 shifts plus shadowing other nurses for 4 shifts. It's totally up to me if I'm comfortable with this arrangement or not. I came on this forum to be enlightened as to what could potentially be harmful or not about an arrangement like this. Thankyou for your input Ventmommy, I see you are an RT and your opinion will be valued.
  3. darkbeauty

    Privately hired for trach+vent.

    I've been offered a position asa private duty nurse via private pay for a trach + vent patient at home. I have always wanted the experience to work with vent dependant pt and they are willing to train me as a family. From a legal perspective for mine and patient protection, how do we go about documentation and taking orders without an I-485 or Plan of Care signed off by Physician? Other agencies do fill in shifts and have their own prepared in a binder, but as a privately hired nurse in the state of Pennsylvania, is there anything I should be weary or careful of?? Anyother advice would be highly appreciated as well. Thankyou
  4. darkbeauty

    LPN's aren't Real Nurses? (Whaa...)

    I don't mind who thinks what, my W2s and 1099s speak for themselves whether I'm a valued skilled nurse or not.
  5. darkbeauty

    Self-employed/Independent Nurse

    Hi I am also looking to relocate to ATL area from PA where I am familiar with working solely as an independant contracting nurse/1099 income. I was also wondering of this type of nursing is as common down south as it is up here. I contract with 2-3 agencies that staff LTC and private duty nursing. To answer the benefits question, I have my own retirement plan through a self funded IRA that I pay into at a maximum allowed amount ($5,500/per annum), for health insurance the market place has been my saving grace. With thic type of working you basically handle your taxes and savings.
  6. darkbeauty

    License revoke

    That might be taken as insurance fraud. Def get legal advice.
  7. I do PDN and LTC facilities through staffing agencies. Try it that way.
  8. darkbeauty

    How much do you make?

    $26/hr with Agency A $28/hr with Agency B Philadelphia, PA
  9. darkbeauty

    Current lpn pay rate

    Following
  10. darkbeauty

    Why are LPNS so underpaid and disrespected

    Do you mind reading my post in the beginning of the page about TX LVNs. Thankyou much 😘
  11. darkbeauty

    It was worth it...

    And your license does not have the number of trials it took to get. Congratulations, and break a leg. I always feel like nurses who had a fair share of struggles in school make the best professionals.
  12. darkbeauty

    LPN goal for home health settings

    That's personal unless they are asking for goal fir your PATIENT in home setting.
  13. Are there LVNs or is it possible to make that range in either the DFW area or Houston? Up north in PA/NJ, LPNs can easily make that much with a mixture of LTC staffing agencies and private duty home health esp trach & vent certified. This is within an average of 50 hour work weeks. Also, is independant contracting common down there?? If this is a reality for some nurses, can you point me in the direction where these opportunities are found. I am doing my research and weigh in options on relocation and I am afraid of dropping my annual income drastically. Thankyou in advance
  14. darkbeauty

    LVNs in the $55k-$70k annual income mark

    Hi Are there LVNs or is it possible to make that range in either the DFW area or Houston? Up north in PA/NJ, LPNs can easily make that much with a mixture of LTC staffing agencies and private duty home health esp trach & vent certified. This is within an average of 50 hour work weeks. Also, is independant contracting common down there?? If this is a reality for some nurses, can you point me in the direction where these opportunities are found. I am doing my research and weigh in options on relocation and I am afraid of dropping my annual income drastically. Thankyou in advance
  15. darkbeauty

    Is private duty nursing a stable job? Options for LPN's?

    Depends on your state and the counties your agency/ies cover. To be continously busy, you will have to register with more than one, upgrade your skills and learn to market yourself. Where I am, the need for skilled in home care nursing is enormous. If willing, you can clock 60-70 hours weekly. Client needs surpass the number of nurses agencies can provide, and sadly some kids end up without a nurse when they desparately need one. There's definitely $$$ to be made in PDN if you avail yourself and remain flexible. Also school districts have been contracting with PDN agencies to staff their "special classes" with kids of medical needs like G-Tubes, Resp issues, etc. The most need is in large, urban inner city areas. Talking, networking with other nurses really helps in getting to know opportunities out there.
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